Camilo R. Gomez
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Camilo Ramiro Gomez, (born September 12, 1960) is an American
neurologist Neurology (from el, νεῦρον (neûron), "string, nerve" and the suffix -logia, "study of") is the branch of medicine dealing with the diagnosis and treatment of all categories of conditions and disease involving the brain, the spinal c ...
, medical educator, and researcher. He is one of the first 100 vascular neurologists certified by the
American Board of Psychiatry and Neurology The American Board of Psychiatry and Neurology, Inc. (ABPN) is a not-for-profit corporation that was founded in 1934 following conferences of committees appointed by the American Psychiatric Association, the American Neurological Association, a ...
(ABPN),, additional Vascular. and one of the founders of the subspecialty of interventional neurology in the United States., additional History He has published extensively Gomez CR: Time is Brain
J Stroke and Cerebrovasc Dis
3:1-2. 1993, additional Time
Gomez CR, Malkoff MD, Sauer CM, Tulyapronchote R, Burch CM and Banet GA: Code Stroke: An Attempt to Shorten In-Hospital Therapeutic Delays
Stroke25(10): 1920-1923. 1994
additional Code
Gomez CR and Kern MJ. Cerebral Catheterization: Back to the Future
J Stroke Cerebrovasc Dis
6(5): 308-312. 1997, additional Cath
and is credited with having coined the phrase ''Time is Brain!'' to denote the urgency required in the treatment of stroke patients. He also introduced the term "Code Stroke" as an in-hospital method for summoning specialists to the stroke patient bedside.


Early life

Gomez was born in
Holguín Holguín () is a municipality and city in Cuba, and the capital of Province of Holguín. After Havana, Santiago de Cuba, and Camagüey, it is the fourth largest city in Cuba. History Before Columbus, the Taino people settled in huts made fro ...
, Cuba and emigrated in 1965, his family settling in Caracas,
Venezuela Venezuela (; ), officially the Bolivarian Republic of Venezuela ( es, link=no, República Bolivariana de Venezuela), is a country on the northern coast of South America, consisting of a continental landmass and many islands and islets in th ...
. There, he attended the Fray Luis Amigo and Santo Tomas de Villanueva catholic schools. Later, in 1981, he received a M.D. from the Universidad Central del Este in
San Pedro de Macorís San Pedro de Macorís is a city and municipality (''municipio'') in the Dominican Republic and the capital of the San Pedro de Macorís province in the east region of the country; it is among the 10 largest cities of the Dominican Republic. The ...
,
Dominican Republic The Dominican Republic ( ; es, República Dominicana, ) is a country located on the island of Hispaniola in the Greater Antilles archipelago of the Caribbean region. It occupies the eastern five-eighths of the island, which it shares with ...
, and immediately emigrated to the United States to continue postgraduate education in neurology at Saint Louis University


Career

In 1986, having completed his neurology residency, he became the founding director of the Saint Louis University stroke center, incorporating a neurovascular
ultrasound Ultrasound is sound waves with frequencies higher than the upper audible limit of human hearing. Ultrasound is not different from "normal" (audible) sound in its physical properties, except that humans cannot hear it. This limit varies ...
laboratory dedicated to the application of the new diagnostic technique of
Transcranial Doppler Transcranial Doppler (TCD) and transcranial color Doppler (TCCD) are types of Doppler ultrasonography that measure the velocity of blood flow through the brain's blood vessels by measuring the echoes of ultrasound waves moving transcranially (th ...
. This work earned the first EME Transcranial Doppler Research Award in 1990, and caught the attention of Sylvia N. Souers, widow of the late Admiral Sidney W. Souers, who later agreed to donate a portion of her estate to the creation of the Souers Stroke Institute, which Gomez directed until 1995. In 1995, he was recruited by the
University of Alabama at Birmingham The University of Alabama at Birmingham (UAB) is a public research university in Birmingham, Alabama. Developed from an academic extension center established in 1936, the institution became a four-year campus in 1966 and a fully autonomous univ ...
(UAB) and became the founding director of its Comprehensive Stroke Center, a post that he held until 2003. He then switched to private practice, maintained an adjunct appointment to the UAB School of Public Health, and remained the principal neurology investigator of the Reasons for Geographic and Racial Differences in Stroke (REGARDS), a federally funded project intended to uncover the underlying causes for the existence of the Stroke Belt. In 2015 he led the team that secured
Primary Stroke Center Stroke centers are medical centers having health professionals specially trained in emergency stroke care. They are considered preferred first responders in the diagnosis and treatment of strokes. Certifying authorities recognize four levels of ...
certification by The
Joint Commission The Joint Commission is a United States-based nonprofit tax-exempt 501(c) organization that accredits more than 22,000 US health care organizations and programs. The international branch accredits medical services from around the world. A majori ...
for Brookwood Medical Center and, in 2016, he became Professor of Neurology and Neurosurgery at Loyola University Chicago, Stritch School of Medicine. At that institution, he also was Vice-Chairman of the Department of Neurology, and Medical Director of the Neuroendovascular Surgery Program at Loyola University Medical Center. In 2019, he joined the faculty of the department of neurology at the University of Missouri School of Medicine in Columbia, Missouri, continuing to practice vascular and interventional neurology within the
University of Missouri Health Care University of Missouri Health Care is an American academic health system located in Columbia, Missouri. It's owned by the University of Missouri System. University of Missouri Health System includes five hospitals: University Hospital, Ellis Fi ...
System.


Neuroimaging and Interventional neurology

He joined the American Society of Neuroimaging (ASN) in the mid-1980s, serving in its board of directors for over ten years, and as its president between 2007 and 2009. He was instrumental in the education and certification of neurologists in diagnostic
vascular The blood vessels are the components of the circulatory system that transport blood throughout the human body. These vessels transport blood cells, nutrients, and oxygen to the tissues of the body. They also take waste and carbon dioxide away f ...
ultrasound Ultrasound is sound waves with frequencies higher than the upper audible limit of human hearing. Ultrasound is not different from "normal" (audible) sound in its physical properties, except that humans cannot hear it. This limit varies ...
, computed tomography (CT), magnetic resonance imaging (MRI), and
angiography Angiography or arteriography is a medical imaging technique used to visualize the inside, or lumen, of blood vessels and organs of the body, with particular interest in the arteries, veins, and the heart chambers. Modern angiography is perfor ...
. Following his seminal endovascular work in St. Louis, upon moving to UAB, he continued to collaborate closely with interventional cardiologists and radiologists, becoming a member of the team that largely influenced the application of carotid artery stenting for stroke prevention. He also worked closely with interventional neuroradiologists and neurosurgeons of the Instituto Nacional de Neurología y Neurocirugía in
Mexico City Mexico City ( es, link=no, Ciudad de México, ; abbr.: CDMX; Nahuatl: ''Altepetl Mexico'') is the capital city, capital and primate city, largest city of Mexico, and the List of North American cities by population, most populous city in North Amer ...
, exchanging working visits several times each year, and leading to a productive interaction in the endovascular management of cerebral aneurysms. The 1990s witnessed an interventional
turf war A turf war is a fight over territory or resources, or may refer to: Music * ''Turf Wars'', a 2007 album by the Canadian band Daggermouth * "Turf War", a song on the 2001 album ''Filmtracks 2000'' by American composer Bill Television * '' Turf W ...
between the three major specialties with stakes in the practice of neuroendovascular procedures, namely
neurology Neurology (from el, νεῦρον (neûron), "string, nerve" and the suffix -logia, "study of") is the branch of medicine dealing with the diagnosis and treatment of all categories of conditions and disease involving the brain, the spinal ...
,
neurosurgery Neurosurgery or neurological surgery, known in common parlance as brain surgery, is the medical specialty concerned with the surgical treatment of disorders which affect any portion of the nervous system including the brain, spinal cord and pe ...
and
neuroradiology Neuroradiology is a subspecialty of radiology focusing on the diagnosis and characterization of abnormalities of the central and peripheral nervous system, spine, and head and neck using neuroimaging techniques. Medical issues utilizing neuroradio ...
. During this period, Gomez took part on behalf of the
American Academy of Neurology The American Academy of Neurology (AAN) is a professional society representing over 38,000 neurologists and neuroscientists. As a medical specialty society it was established in 1948 by A.B. Baker of the University of Minnesota to advance the ...
(AAN) in negotiating a common educational pathway and, as a byproduct, vascular neurology became an accredited subspecialty, as well as a prerequisite for neurologists training in
interventional neuroradiology Endovascular therapy (EVT), also known as neurointerventional surgery (NIS), interventional neuroradiology (INR), endovascular neurosurgery, and interventional neurology is a medical subspecialty of radiology, neurosurgery, and neurology specializin ...
. His work on mechanical neuroendovascular rescue of acute ischemic stroke preceded the approval by the U.S.
Food and Drug Administration The United States Food and Drug Administration (FDA or US FDA) is a List of United States federal agencies, federal agency of the United States Department of Health and Human Services, Department of Health and Human Services. The FDA is respon ...
(FDA) of devices specifically designed for this purpose, culminating in the widespread acceptance of endovascular thrombectomy as an urgent treatment strategy in these cases.


Urgent and intensive stroke care

In the early 1990s he coined the phrase ''Time is Brain!'', as an argument for the need to expedite the treatment of stroke victims at a time when this was not the norm, and also introduced one of the first experiences using a "Code Stroke" system for managing stroke patients, in parallel to the existing procedures for treating patients with cardiac arrest. He promoted the use of
hypothermia Hypothermia is defined as a body core temperature below in humans. Symptoms depend on the temperature. In mild hypothermia, there is shivering and mental confusion. In moderate hypothermia, shivering stops and confusion increases. In severe ...
for the management of critically ill neurologic patients, including stroke, a subject highlighted in a 2001 article and television piece by
CNN CNN (Cable News Network) is a multinational cable news channel headquartered in Atlanta, Georgia, U.S. Founded in 1980 by American media proprietor Ted Turner and Reese Schonfeld as a 24-hour cable news channel, and presently owned by ...
. He partnered with the Birmingham Regional Emergency Medical Services System (BREMSS) to construct a regional stroke transportation system that was unique in the country. The product served as a model for national guidelines. It became operational in 2000 and, for the first time, used a dedicated computerized system to link dedicated stroke centers within the six counties that surround the city of Birmingham, allowing them to work in a symbiotic way. The system included a process for certifying stroke centers based upon a set of criteria, anteceding the current stroke center certification process by the
Joint Commission The Joint Commission is a United States-based nonprofit tax-exempt 501(c) organization that accredits more than 22,000 US health care organizations and programs. The international branch accredits medical services from around the world. A majori ...
.


Military service

In 1986 he joined the U.S. Army Medical Corps, becoming a member of the Saint Louis University Medical Detachment of the 21st General Hospital, 102nd Army Reserve Command (ARCOM). In December 1990, he was called to active duty in support of
Operation Desert Storm Operation or Operations may refer to: Arts, entertainment and media * ''Operation'' (game), a battery-operated board game that challenges dexterity * Operation (music), a term used in musical set theory * ''Operations'' (magazine), Multi-Ma ...
, and was honorably discharged in 1994.


Honors and awards

Gomez was the commencement speaker for the graduation ceremonies at Universidad Central del Este in 1988 and is a member of the
Phi Kappa Phi The Honor Society of Phi Kappa Phi (or simply Phi Kappa Phi or ) is an honor society established in 1897 to recognize and encourage superior scholarship without restriction as to area of study, and to promote the "unity and democracy of education ...
and
Beta Gamma Sigma Beta Gamma Sigma () is the International Business Honor Society. Founded in 1913 at the University of Wisconsin, University of Illinois and the University of California, it has over 980,000 members, selected from more than 600 collegiate chapters i ...
honor societies in business. He has been listed in several editions of Best Doctors in America. In 1990, he was awarded the first Eden Medical Electronics (EME)
Transcranial Doppler Transcranial Doppler (TCD) and transcranial color Doppler (TCCD) are types of Doppler ultrasonography that measure the velocity of blood flow through the brain's blood vessels by measuring the echoes of ultrasound waves moving transcranially (th ...
Research Award for his work on cerebral perfusion during
cardiopulmonary resuscitation Cardiopulmonary resuscitation (CPR) is an emergency procedure consisting of chest compressions often combined with artificial ventilation in an effort to manually preserve intact brain function until further measures are taken to restore spon ...
and, in 2000, the Birmingham Regional EMS (BREMSS) awarded him the R. Floyd Yarborough EMS Award for being instrumental in organizing the care of stroke patients in the counties that surround the city of Birmingham, Alabama. He then received the Interventional Pioneer Award by the Society of Vascular and Interventional Neurology (SVIN) during their inaugural meeting in 2007.


Business degree

In 2006, he completed and earned the degree of
Master in Business Administration A Master of Business Administration (MBA; also Master's in Business Administration) is a postgraduate degree focused on business administration. The core courses in an MBA program cover various areas of business administration such as accounti ...
(MBA) from the Physician Executive MBA (PEMBA) program at the
University of Tennessee at Knoxville The University of Tennessee (officially The University of Tennessee, Knoxville; or UT Knoxville; UTK; or UT) is a public land-grant research university in Knoxville, Tennessee. Founded in 1794, two years before Tennessee became the 16th state, ...
.


Personal life

He married Sandra Maria Lopez Quiroga in 1981, but they divorced in 2007 after having had two children.


Publications (books only)

* Tegeler CH, Babikian VL and Gomez CR. ''Neurosonology''. Mosby-Yearbook Publishers. St. Louis, MO. 1996 * McCartney JP, Thomas-Lukes KM and Gomez CR. ''Handbook of Transcranial Doppler''. Springer-Verlag Publishers. New York, 1997. * Geyer JD and Gomez CR. ''Stroke: A Practical Approach''. Lippincott. Philadelphia, PA. 2009. * Gomez CR. ''The Downgrading of American Healthcare'', On-Demand Publishing. 2012


References

{{DEFAULTSORT:Gomez, Camilo 1960 births Living people American neurologists Health and wellness writers American writers of Cuban descent Physicians from Alabama University of Tennessee alumni University of Missouri faculty People from Holguín